Individual
DR. CHARLES LEHMAN COWAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1955 OPELIKA RD, AUBURN, AL 36830-2811
(334) 821-2227
(334) 821-4733
Mailing address
1955 OPELIKA RD, AUBURN, AL 36830-2811
(334) 821-2227
(334) 821-4733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-504-TA-106
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-59748
BLUE CROSS/BLUE SHIELD
AL
Enumeration date
06/28/2006
Last updated
07/08/2007
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